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09/26/2011 21: 14 253--565-5199 FEDEX OFFICE 5506 PAGE 04 <br /> \ \ <br /> E�.ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 p a,7 `�' <br /> 425-257-8810 - FAX A25-257-8857-www.everettWa.otg I - <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C II�9`� 65 <br /> 1O33o re [,�.v Sti;� � <br /> PROJECT AD�RE <br /> ONrt1e� MatlAddn.�ss CHy Stme/LP Phono <br /> 17'�sr.o�r ��n w '�ar 1�3� SNJtD EJGC4tYef� � E�rel� 9$� 9�5-ae�D-5�14� <br /> Tene�rt ' Ma�lAddress Gty State2ip Phone <br /> �Yle��„ - I l- , lir aa�3 if�A�S �1�5 5� �� 9�3� �53-3oy-P5o5 <br /> EleclriCal ConMactor Mall Adaress Gty state/Tp <br /> ov�ET2oE � �6�0,' �a5 . �5 <br /> State license Numbef ConUact Price of Work <br /> D�L,c 1 �05� �,mmors <br /> o. r <br /> Proposed Use Bullding ContaG Person (Plan Revlev� <br /> �esuipGonofWorkfiBeDona; /-c 'i a-�I�S� In2r�c,C ►L� Cr�4V �j� P��e� <br /> �fy� vJ11 I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. ��. a Q <br /> U <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby ceRify fhat!have read and exemined ihls apqlicetion and know tNB Same to be We and <br /> correct. All pr�vislens of laws and ordinances govemm�fhis type of work wD�De comP�� <br /> whelher speafi he�ein or not. 7Tre g�anting of a pem�t does nof presume to grve authonry ta <br /> violaleor n dre provisions /anyothersfateorfocallawregulatirrgconshuCNonorHre <br /> perlortn ce o caishuctlon. et/am autho�ized by tRe owner of this property[o peAortn the / / � <br /> worlr hI application is ade and I comply wifh the Sfate Conhscfors Law 98.27 RCW and <br /> 296. A . �/ n� _ ly <br /> � L/ <br /> "I `�� -� <br /> sig �� <br />